Individual
MR. MICHAEL GRANT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 QUESADA AVE, SAN FRANCISCO, CA 94124-2334
(415) 822-5977
(415) 671-1043
Mailing address
1601 QUESADA AVE, SAN FRANCISCO, CA 94124-2334
(415) 822-5977
(415) 671-1043
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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